Meta-analysis of case management model in reducing the rehospitalization rate of patients with chronic heart failure
10.3760/cma.j.issn.1674-2907.2017.05.020
- VernacularTitle:个案管理模式对降低心力衰竭患者再入院率影响的Meta分析
- Author:
Yu CHEN
1
;
Chunmei LUO
;
Juan WANG
;
Shulan LUO
;
Hongli YANG
Author Information
1. 第三军医大学第二附属医院新桥医院骨科
- Keywords:
Heart failure;
Meta-analysis;
Case management model;
Rehospitalization rate
- From:
Chinese Journal of Modern Nursing
2017;23(5):675-681
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review the efficiency of community case management in reducing the rehospitalization rate and hospitalization time, and shortening the hospitalization costs of patients with chronic heart failure (CHD).Methods Randomized controlled trials (RCTs) and clinical control trials (CCTs) of community case management about the number of hospitalized patients and the average hospitalization time were collected from Cochrane library, JBI evidence-based nursing center library, MEDLINE, Embase, Pubmed, CNKI, VIP, and Wanfang. Data were searched and extracted; captured citations were screened; and the methodological quality of all included studies was assessed by 2 reviewers independently. Revman 5.3 software was used to perform the meta-analysis.Results Totally 14 published studies were included in the systematic review, and they were all RCTs. The results of meta-analysis showed that, compared with patients without community case management, there was statistically significant difference in the effects of case management on the rehospitalization rate and hospitalization time of CHD patients [random effects model OR=0.76,95%CI(0.65,0.88),P<0.01] [random effects modelOR=-1.23,95%CI(-1.58,-0.88),P<0.01]. Conclusions Community case management can effectively reduce the rehospitalization rate and shorten the hospitalization time of CHD patients, so it is worth being popularized.
